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33 Southmoor Properties, Inc

Skilled Nursing Facility in Wheat Ridge, CO · enumerated 2016 · authorized official Mary Koretke, Director of Reimbursement.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124485933

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Registry record

Entity type Organization (Type 2)
Legal business name 33 Southmoor Properties, Inc
Other name <Unavail>
Practice address 2920 Fenton St, Wheat Ridge, CO, 80214
Phone (303) 238-0481
Fax (303) 233-3775
Enumeration date Jan 25, 2016
Last updated in NPPES Jan 25, 2016

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License 020436 (CO) Primary

Authorized official

Name Mary Koretke
Title Director of Reimbursement
Phone (720) 974-6278

Other identifiers

Identifier Type State Issuer
34376020 Medicaid CO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for 33 Southmoor Properties, Inc?
NPPES lists Mary Koretke (Director of Reimbursement) as the authorized official for this organization.
What is the NPI number for 33 Southmoor Properties, Inc?
The NPI for 33 Southmoor Properties, Inc is 1124485933, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-25.